23. Tampa, Fla.
24. Cleveland, Ohio
25. Chicago, Ill.
26. Nashville, Tenn.
27. Philadelphia, Pa.
28. Jacksonville, Fla.
29. Columbus, Ohio
30. Los Angeles, Calif.
31. Miami, Fla.
32. Phoenix, Ariz.
33. St. Louis, Mo.
34. Charlotte, N.C.
35. Dallas, Texas
36. Indianapolis, Ind.
37. Memphis, Tenn.
38. Louisville, Ky.
39. San Antonio, Texas
40. Riverside, Calif.
41. Houston, Texas
42. Las Vegas, Nev.
43. Birmingham, Ala.
44. Detroit, Mich.
45. Oklahoma City, Okla.
NR. Orlando, Fla.
NR. Providence, R.I.
NR. Richmond, Va.
NR. Rochester, N.Y.
NR. Salt Lake City, Utah
Cities marked “NR” were included in the index but not ranked due to a lack of information.
Sources: American College of Sports Medicine’s 2009 American Fitness Index and Centers for Disease Control and Prevention
